THE UNIVERSITY OF TEXAS-PAN AMERICAN WOMEN'S TRACK QUESTIONNAIRE
Name: Preferred to be called:
Home Address:  
  City:

State:

Zip:
Home Phone: ( )
 E-Mail Address
Parent's Name(s):  
     
Date of Birth:    
School Address:  
City:   State:     Zip:  
School Phone: ( )    Dorm Phone
(if Junior College): 		( )
Coach:  
Coach's Home Phone: ( )     Office Phone: ( )

  
List any friends or relatives enrolled at The University of Texas-Pan American:


Academic Information

High School Graduation Date:
Junior College: Graduation Date:
  Junior College Coach::  
What is your preferred major in college?
G.P.A: A.C.T Score: S.A.T. Score:


Athletic Information

Event:: Top Distance/Time:

Event:: Top Distance/Time:

Event:: Top Distance/Time: